医疗成像中人工智能的患者偏好:一个单一中心的横截面调查
Kennedye N McGhee1, D Jonah Barrett2, Omar Safarini2
1University of Alabama at Birmingham Marnix. E. Heersink School of Medicine, 619 19th Street South, Birmingham, AL, 35233, USA. knm0036@uab.edu.
Journal of imaging informatics in medicine
|August 7, 2025
概括
接受医学成像检查的患者希望了解他们护理中的人工智能 (AI) 使用情况. 透明度和披露对于在放射学实践中采用人工智能至关重要.
科学领域:
- 医疗成像医学成像
- 医疗保健中的人工智能
- 患者的感知 患者的感知
背景情况:
- 人工智能 (AI) 越来越多地用于临床环境,以提高诊断准确度和减少临床医生的倦怠.
- 患者对人工智能在医疗保健中的作用的理解和观点尚未得到充分确立.
- 截面成像检查是人工智能实施日益增长的关键领域.
研究的目的:
- 在他们的横截图成像检查中调查患者对人工智能 (AI) 使用和沟通的偏好.
- 评估患者的知识,感知和与医疗保健中的AI相关的经济考虑.
- 探索患者愿意接受AI产生的结果和AI专属的解释.
主要方法:
- 一项单中心的横截面研究调查了226名接受CT或MRI检查的门诊患者.
- 结构化问卷评估了患者对人工智能的知识,对护理中的人工智能的看法以及对人工智能结果沟通的偏好.
- 数据采用利克特尺度和分类问题收集,并分析社会经济地位的相关性.
主要成果:
- 绝大多数 (90.3%) 患者希望了解人工智能在他们的护理中的使用情况,并支持选择退出权 (91.1%).
- 大多数患者 (91.1%) 喜欢人工智能解释他们的医疗图像时明确通知,而65.6%的人不愿接受仅由人工智能解释的查检查.
- 较低的社会经济地位与患者对医学人工智能的知识较低相关 (p < .001).
结论:
- 患者强烈提倡在医疗成像中使用人工智能的透明度和披露.
- 放射学实践必须优先考虑明确的沟通和患者参与,以使人工智能采用与患者期望保持一致.
- 对人工智能使用的标准化披露,而不加重工作流程,对于建立患者信任和接受至关重要.
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